Viken Douzdjian, MD | |
1040 Nw 22nd Ave, Nsc #430, Portland, OR 97210-3057 | |
(503) 413-6722 | |
(503) 413-6563 |
Full Name | Viken Douzdjian |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1040 Nw 22nd Ave, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447328398 | NPI | - | NPPES |
8295412 | Medicaid | WA | |
287293 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD23071 (Oregon) | Primary |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Mailing Address | Practice Location Address |
---|---|
Viken Douzdjian, MD 1040 Nw 22nd Ave, Nsc #430, Portland, OR 97210-3057 Ph: (503) 413-6722 | Viken Douzdjian, MD 1040 Nw 22nd Ave, Nsc #430, Portland, OR 97210-3057 Ph: (503) 413-6722 |
Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829 | |
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061 | |
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670 | |
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848 | |
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372 |